National health Insurance....

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Nearly 8,000 doctors call for national health insurance

Tuesday, August 12, 2003 Posted: 4:03 PM EDT (2003 GMT)

WASHINGTON (AP) -- Nearly 8,000 U.S. physicians are calling for

government-financed national health insurance, which they say would

cover every American while saving billions of dollars.

Ten years after President Clinton's national health plan died in

Congress, tangled in complexity and under fierce assault from the

medical, insurance and pharmaceutical industries, the doctors argue

that private sector solutions have failed.

They contend that work in Congress to enact a prescription drug

benefit for the elderly and disabled would shift more government

money to private companies while offering little value to consumers.

The doctors would put in place a single-payer system -- essentially

an upgraded and expanded version of Medicare, the government health

care program for the elderly and disabled.

" HMOs, launched as health care's bright hope, have raised Medicare

costs by billions and fallen to the basement of public esteem.

Investor-owned hospital chains, born of the promise of efficiency,

have been wracked by scandal, " the doctors write. " And drug firms,

which have secured the highest profits and lowest taxes of any

industry, price drugs out of reach of those who need them most. "

Their proposal was published in Wednesday's Journal of the American

Medical Association.

The group of 7,782 physicians is led by Marcia Angell, former editor

of the New England Journal of Medicine, and former Surgeons General

Julius Richmond and Satcher.

" The system cannot continue much longer the way it is, " Angell, a

Harvard Medical School lecturer, said in an interview. " It is clearly

imploding. It isn't that single-payer is the best choice. It's the

only choice. "

Sparking debate

The American Medical Association remains opposed to a single-payer

health care system, Dr. Palmisano, AMA's president, said in a

statement.

" By implementing a single-payer system, the U.S. would be trading one

problem for a whole set of others, " Palmisano said. " Long waits for

health care services, a slowness to adopt new technologies and

maintain facilities, and development of a large bureaucracy that can

cause a decline in the authority of patients and their physicians

over clinical decision-making are all hallmarks of the single-payer

system. "

The American Association of Health Plans, the lobbying arm of the

managed care industry, also said it opposed the doctors' proposal,

which would eliminate for-profit hospitals and health maintenance

organizations.

The physicians signing onto the article account for less than 1

percent of the 813,770 physicians in the United States as of 2000,

according to the AMA.

But Richmond said it is significant that a large number of doctors,

traditionally opposed to government health programs, would endorse

national health insurance. " Physicians have realized that there is

something very fundamentally wrong with the system, " said Richmond,

who served as surgeon general in the administration.

The doctors said they hope to spark a debate over national health

insurance that essentially ended with the death of the Clinton health

plan.

Of the Democratic presidential candidates, only Rep. Dennis Kucinich

is advocating a single-payer system.

Americans spend $1.6 trillion on health care, which the doctors say

is more than enough money to cover every American. The doctors

contend that there will be at least $200 billion in administrative

savings in a single-payer, national insurance plan.